Provider Demographics
NPI:1528755196
Name:TRIXICORP LLC
Entity type:Organization
Organization Name:TRIXICORP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIKE
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:EZEOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-948-1695
Mailing Address - Street 1:5833 NOLENSVILLE PIKE STE 113E
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6891
Mailing Address - Country:US
Mailing Address - Phone:615-948-1695
Mailing Address - Fax:
Practice Address - Street 1:5833 NOLENSVILLE PIKE STE 113E
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6891
Practice Address - Country:US
Practice Address - Phone:615-948-1695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIXICORP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities